Lula's Angels Residential Homes LLC

NPI #1255161014 in Canton, Ohio

Provider Information

NPI Number
1255161014
Entity Type
Organization
Organization Name
Lula's Angels Residential Homes LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 6, 2024
Last Updated
Aug 6, 2024

Practice Location

Address
2334 BROOKDALE ST NW
City
Canton
State
Ohio
ZIP Code
44709-2252
Phone
(330) 949-5686

Authorized Official

Name
KELLY CLAX
Title
CEO
Phone
(330) 949-5686

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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